Bakos O, Cederholm M, Kieler H
Department of Obstetrics and Gynaecology, University Hospital, Uppsala, Sweden.
Fetal Diagn Ther. 1998 May-Jun;13(3):147-9. doi: 10.1159/000020826.
To present the complications of twin pregnancies with delayed delivery of the second twin, 32 days after expulsion of the first twin.
A 29-year-old woman with a twin pregnancy at gestational age 13 weeks and 5 days presenting with a rupture of the membranes of the first twin. At 21 completed weeks the umbilical cord prolapsed and at 23 weeks the first twin was stillborn with the placenta in the uterus. After maternal septicemia the second twin was delivered by caesarian section, at 28 complete weeks, liveborn. The mother and child were discharged from hospital 10 weeks later, corresponding to 38 completed weeks of pregnancy.
A very early premature rupture of membrane (PROM) occurs more often in twin pregnancies. The delivery of one twin most often results in expulsion of the second twin. With PROM there is a great risk of chorioamnionitis, as in our case, which resulted in an acute cesarean section. In this case, conservative management achieved a viable fetus in spite of very early and serious complications.
介绍双胎妊娠中第二胎延迟分娩的并发症，第一胎娩出后32天分娩第二胎。
一名29岁双胎妊娠女性，孕13周5天，第一胎胎膜破裂。孕21周时脐带脱垂，孕23周时第一胎死产，胎盘仍在子宫内。产妇发生败血症后，第二胎于孕28周时剖宫产娩出，为活产。母婴于10周后出院，相当于孕38周。
双胎妊娠中极早期胎膜早破（PROM）更为常见。一胎分娩后常导致另一胎娩出。如我们的病例所示，胎膜早破时绒毛膜羊膜炎风险极大，这导致了急诊剖宫产。在本病例中，尽管出现了极早期且严重的并发症，但保守治疗使胎儿存活。
